Organization
2ND CHANCES BEHAVIOR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE BRICE (MANAGER)
(702) 478-8502
Entity
Organization
Contact information
Practice address
4660 S EASTERN AVE STE 2004660S, LAS VEGAS, NV 89119-6137
(702) 478-8502
Mailing address
4660 S EASTERN AVE STE 2004660S, LAS VEGAS, NV 89119-6137
(702) 478-8502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20171261077
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20171261077
—
NV
Enumeration date
04/21/2017
Last updated
04/21/2017
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